Provider Demographics
NPI:1396882106
Name:VENTURINI, CHRYSTEL THERESE (MD)
Entity type:Individual
Prefix:DR
First Name:CHRYSTEL
Middle Name:THERESE
Last Name:VENTURINI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:19020 33RD AVE W STE 210
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-4748
Mailing Address - Country:US
Mailing Address - Phone:425-563-1500
Mailing Address - Fax:425-563-1374
Practice Address - Street 1:3417 ENSIGN RD NE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-5064
Practice Address - Country:US
Practice Address - Phone:360-493-4600
Practice Address - Fax:360-493-4603
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000409072085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000697063OtherANTHEM- KENTUCKY CHILDREN'S RADIOLOGISTS
WA0379437OtherL&I-SOUTH SOUND RADIOLOGY
KY122797OtherSIHO- KENTUCKY CHILDREN'S RADIOLOGISTS
KY000057094WOtherHUMANA- KENTUCKY CHILDREN'S RADIOLOGISTS
WA0384449OtherL&I-RADIA
WA2008419Medicaid
KY7100170330Medicaid
IN201018220Medicaid